Organization Active NPI

Nutrition Management Services, Inc.

  • Registered Dietitian
  • Columbus, GA
National Provider Identifier
1174659809
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD000095 Issued in GA
Legal business name
NUTRITION MANAGEMENT SERVICES, INC.
Practice address
3025 University Ave
Suite C-1
Columbus, GA 31907-2101
Phone
(706) 563-5783
Fax
(706) 561-5838
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Jessie G Wright, MS, RD, LDNPI 1801080700
Title
President
Phone
(706) 563-5783

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X LD000095 GA Primary

Addresses

Primary practice location

3025 University Ave
Suite C-1
Columbus, GA 31907-2101

Mailing address

PO Box 5532
Columbus, GA 31906-0532
Phone (706) 563-5783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120110000455 GA Part B Supplier - Clinic/Group Practice 6204002454 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, GA

National Provider Directory

National Provider Directory

Locations

3025 University Ave
Ste C1
Columbus, GA 31907
Phone (706) 563-5783

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174659809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5532",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319060532",
            "telephone_number": "706-563-5783",
            "fax_number": "706-561-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 UNIVERSITY AVE",
            "address_2": "SUITE C-1",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319072101",
            "telephone_number": "706-563-5783",
            "fax_number": "706-561-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION MANAGEMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-563-5783",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD000095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.